Endoscopic treatment in a case with extensive spontaneous intramural dissection of the oesophagus

被引:18
作者
Bak, YT [1 ]
Kwon, OS [1 ]
Yeon, JF [1 ]
Kim, JS [1 ]
Byun, KS [1 ]
Kim, JH [1 ]
Kim, JG [1 ]
Lee, CH [1 ]
Choi, YH [1 ]
Kang, DH [1 ]
机构
[1] Korea Univ, Coll Med, Dept Internal Med, Seoul 136701, South Korea
关键词
diathermy knife; double-barrelled oesophagus; endoscopic treatment; needle-type papillotome; spontaneous intramural oesophageal dissection;
D O I
10.1097/00042737-199811000-00012
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Spontaneous intramural dissection of the oesophagus has been recognized as a separate clinical entity between a transmural oesophageal rupture (Boerhaave syndrome) and an oesophageal mucosal tear (Mallory-Weiss syndrome). It is important to differentiate this condition from myocardiac infarction, dissecting aneurysm and other acute surgical conditions. Conservative management is usually thought to be adequate, We report a case of spontaneous intramural oesophageal dissection, in which the symptom of dysphagia did not improve with the conservative management and an endoscopic incision of the septum between true and false lumens using a needle-type diathermy knife was done safely and effectively, Eur J Gastroenterol Hepatol 10:969-972 (C) 1998 Lippincott Williams & Wilkins.
引用
收藏
页码:969 / 972
页数:4
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